HomeMy WebLinkAbout0124813-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 46 W 10TH AVE
CITY OF OSHKOSH No 124813
PLUMBING PERMIT - APPLICATION AND RECORD
Owner LOLA RUTH WILSON Create Date 05/16/2007
Plan
Contractor PAUL J FARIS PLUMBING LLC
Category 411 - Residential-Water Heaters
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirllpool Floor Drain Local Waste Ice Chest FlrlWst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/Grind Drink Ftn Serv Sink Soda Disp
Misc.
FixtUlres
Use/Nature 'SFR / REPLACE GAS WATER HEATER **debt acct
ofWclrk
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Conn. Type
Material
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Valuation
Issued By
$0.00 Permit Fees
Plan Approval
$25.00 D Permit Voided I
Parcelld # .
0301900000
Date 05/16/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Siglnature
Date
Address N4571 SHEEHAN LAKE LN
Agent/Owner
CAMPBELLSPORT WI 53010 - 0000 Telephone Number 920-979-8602
Tel schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Inspection Services Division
POBox 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
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OfHKOfH
ON THE WATER
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the premises hereinafter described, the work to conform to the
Wisconsin State Plumbing Code, in the performance of which all parties hereto agree to and are bound by said statutes.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, POBox 1128,
OshkoshWI 54903-1128. Commencing work without permit(s) win result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
1
Job Address '4&
Owner [So:) {~
[9smgle Family
o (Ofh fIv
k? ;(0V1
DDuplex
Value (Including labor and rnaterialsrf"OO
rt:i~l I.T- h;l5 //60
DRental DCommercial
Date
~({S ~7
{LC
Contractor
DMulti-Family
DlndustriaI
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water~er ~
lXfas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndi"y Tray
Lab Sink
Plaster Sink
Sterilizer
Misc.
Fixtures
Disposal
Dishwasher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Drink Fin Catch Basin
Wait.St. Wash Fin
Ice Chest Urinal
Exam Sink Gar Drain
Sculry Sink Soda Disp
Hand Sink Coffee Maker
F Prep Sink Comm.Ice Maker
Serv Sink Site Drain
Int Grease Trap Roof Drain
Ext Grease Trap Standp Rec
R.P.2. Valve Eye Wash Sin
Shamp Sink Wtr Sewer Mtrs
Flr/Wst Sink Deduct Meters
Wtr Usage Mtrs
Surgeons Sink
Breakrm Sink
Dip Well
Hose Bibs
Electric Contractor
OR
DElectric Installation Verification fo'rm attached
(If Replacement)
Use I Nature of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
11/05